The effect of self-care nursing intervention model on self-esteem and quality of life among burn patients

Abstract

Objective: Burn injuries and their complications are considered the major health problems throughout the world as it has a negative effect on function of the burned part that result in psychological disturbance as depression, anxiety, irritability, body image dissatisfaction and post-traumatic stress disorder are common in burn patients that associated with adverse out comes including poor quality of life (QOL), low self-esteem, stigmatization and increase mortality. This study aimed to investigate the effect of self-care nursing intervention model on self-esteem and quality of life among burn patients. Methods: A quasi-experimental research design was utilized. The study was conducted at burn unit of emergency hospital, Menoufia University at Menoufia governorate, Egypt. A convenience sample of 34 adult patients (one group pre/post test) with 2 nd degree burn and exposed to self care nursing intervention model that include (self-care requisites, stress management techniques and strategies for improving self esteem) in addition to routine hospital care. Three tools were used to fulfill: Tool I: Burn assessment tool, Tool II: Rosenberg Self-Esteem Scale and Tool III: World Health Organization Quality of Life (WHOQOL) scale. Results: The main findings of the study there was statistically significant improvement of self-care knowledge related to burn management after implementing self-care model. There was statistically significant improvement of self-esteem and QOL among burn patients post-intervention than pre-intervention. Conclusions: The overall findings in the present study revealed that implementing self-care nursing intervention model at burn unit was effective when providing care as it encouraged patient to be an active participant in care and had a significant improvement of self-care management, self-esteem and QOL among burn patients. Recommendations: The self-care theory has shown to be the basis when providing nursing care as it helps in promoting therapeutic communication and trust relationship between the patient and the nurse so that encourage nurses to work and providing care with nursing theories.

Bio-Psychosocial Needs for Patients with Second Degree Burns: Suggested Rehabilitation Program and Follow up Care

“…The percentage of area burned was observed to be between 10-25%. The previous findings are in agreement with Abd Elalem et al, (2018) [29] who stated that more than half of the studied patients had burns in different parts of the body rather than the face; also more than half of the patients had burns covering 10-25% of the body surface.…”

The Effect of Self-Care Compact Disk-Based Instruction Program on Physical Performance and Quality of Life of Patients with Burn At-Dismissal

“…The results indicated that the scores of quality of life was with a significant increases at month three post-intervention. 10 The study by Elalem et al (2018) 3 demonstrated that self-care nursing was effective in burn patients and self-care intervention enabled patients to actively take part in their treatment. 3 Finlay et al performed a study in 2012 with the objective of developing and evaluating DVDbased self-care instructions for the burn outpatients and the findings of the present study are compliant with the aforesaid study, because the improvement in the physical performance scores was reflective of the effectiveness of multimedia self-care instruction.…”

“…10 The study by Elalem et al (2018) 3 demonstrated that self-care nursing was effective in burn patients and self-care intervention enabled patients to actively take part in their treatment. 3 Finlay et al performed a study in 2012 with the objective of developing and evaluating DVDbased self-care instructions for the burn outpatients and the findings of the present study are compliant with the aforesaid study, because the improvement in the physical performance scores was reflective of the effectiveness of multimedia self-care instruction. 26 As it is known, burns are chronic diseases that cause appearance changes, disabilities, difficulties in performing of the occupational duties and familial responsibilities as well as physical, psychological and social outcomes that can substantially influence quality of life.…”

“…2 Annually, about 2.4 million burns occur around the globe and 650000 cases of which need treatment, 75000 cases are hospitalized and between 8 and 12 thousand cases are considered as superficial burns. 3 An epidemiological study in 2017 in ten countries (Australia, Bulgaria, China, Czech Republic, Finland, Iran, Israel, Netherlands, Oman and Britain) shows that the burn prevalence rate is high in these countries. 4 The burn statistics of Iran, with its 75-million population, are indicative of an annual of 150 thousand cases of burns out of which between 25 and 30 thousand are hospitalized which is reflective of the high rate of burns in Iran.…”

“…In US, burns is the primary cause of death enrolling 3240 individuals annually and with 40000 hospitalizations. 3 Corresponding to the statistics issued by the country's forensic medicine organization for 2018, 379 individuals have lost their lives during the first trimester as a result of burns, among them, 213 burn cases were male and 166 were female and the highest number of the burn victims was respectively found in Khuzestan Province (n=51), Fars (n=42), and Tehran (n=37). 6 Besides death, injuries resulting from burns are undoubtedly amongst the most severe forms of trauma bringing about many disabilities and long-term or chronic symptoms, increase in hospital costs and recurrent hospitalization and physical damage.…”